Halaman Judul ...................................................................................................................... i
Halaman Pengesahan ............................................................................................................ ii Pernyataan Keaslian Karya Tulis .......................................................................................... iii Kata Pengantar ...................................................................................................................... iv Halaman Persembahan .......................................................................................................... vi Daftar Isi ............................................................................................................................... vii Daftar Tabel .......................................................................................................................... ix Daftar Lampiran .................................................................................................................... x Intisari ................................................................................................................................... xi Abstract ................................................................................................................................xii BAB I PENDAHULUAN .................................................................................................... 1 1.1. Latar Belakang ...........................................................................................................1 1.2 Rumusan Masalah ..................................................................................................... 6 1.3 Pertanyaan Penelitian ................................................................................................ 7 1.4 Tujuan Penelitian ...................................................................................................... 7 1.5 Motivasi Penelitian ................................................................................................... 8 1.6 Manfaat Penelitian .................................................................................................... 8 1.7 Kontribusi Penelitian ................................................................................................ 8 1.7.1 Kontribusi Praktis ...................................................................................... 8 1.7.2 Kontribusi Teoritis ....................................................................................... 9 1.7.3 Kontribusi Kebijakan ....................................................................................9 1.8 Ruang Lingkup dan Batasan Penelitian .................................................................... 9 1.9 Sistematika Penulisan ............................................................................................... 10 BAB II LANDASAN TEORI DAN TINJAUAN PUSTAKA ........................................... 12 2.1 Kesiapan Perubahan dalam Organisasi ..................................................................... 12 2.2 Penolakan Perubahan (Resistance to change) ...........................................................15 2.3 Pengertian Komitmen ................................................................................................17 2.4 Badan Layanan Umum ..............................................................................................18 2.5 Pola Pengelolaan Keuangan BLUD .......................................................................... 20 2.6 Persyaratan BLUD .................................................................................................... 21 2.6.1 Persyaratan Substantif ...................................................................................21 2.6.2 Persyaratan Teknis ........................................................................................ 22 2.6.3 Persyaratan Administratif ............................................................................. 23 2.7 Penetapan BLUD ...................................................................................................... 26 BAB III METODE PENELITIAN ....................................................................................... 28 3.1 Desain Penelitian ...................................................................................................... 28 3.2 Informan Penelitian .................................................................................................. 29 3.3 Sumber dan Teknik Pengumpulan Data ................................................................... 30 3.4 Teknik Analisis Data .................................................................................................31 3.5 Teknik Pemeriksaan Keabsahan Data .......................................................................33 3.5.1 Uji Validitas Internal (Validity) .................................................................... 33 3.5.2 Uji Reliabilitas (Reliability) ......................................................................... 34 BAB IV ANALISIS DATA DAN PEMBAHASAN ...........................................................36 4.1 Deskripsi Subyek Penelitian ..................................................................................... 36 4.2 Deskripsi Sampel Penelitian ..................................................................................... 41 4.3 Hasil Analisis Data ................................................................................................... 43 4.4 Pembahasan .............................................................................................................. 63 4.4.1 Faktor Tuntutan Tugas .................................................................................. 63 4.4.2 Ketersediaan Sumber Daya Puskesmas ........................................................ 72 4.4.3 Faktor Situasional ......................................................................................... 80 BAB V KESIMPULAN, KETERBATASAN PENELITIAN, DAN SARAN .................... 92 5.1. Kesimpulan ............................................................................................................... 92 5.1.1. Faktor-faktor yang mempengaruhi kesiapan puskesmas dalam perubahan status menjadi BLUD ............................................................................................... 92 5.1.2 Dukungan Stakeholders dan Komitmen Organisasional ............................ 93 5.2. Keterbatasan Penelitian ........................................................................................... 94 5.3. Saran ..........................................................................................................................95 Daftar Pustaka ........................................................................................................................97